Sleep Disorder Institute of Northwest Indiana LLC

NPI #1912952706 in Portage, Indiana

Provider Information

NPI Number
1912952706
Entity Type
Organization
Organization Name
Sleep Disorder Institute of Northwest Indiana LLC
Primary Specialty
Technician, Other
Enumeration Date
May 23, 2006
Last Updated
Jul 13, 2007

Practice Location

Address
6040 LUTE RD
Address 2
SUITE A
State
Indiana
ZIP Code
46368-5008
Phone
(219) 764-4567

Authorized Official

Name
PAUL L ABBOTT
Title
ADMINISTRATOR
Phone
(219) 263-7255

Specialties & Taxonomy Codes

Specialty
Technician, Other

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